Cheryl A. Hefta, NP
Individual provider Active NPI Women's Health Nurse Practitioner · Fort Totten, ND
NPI 1255448668 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255448668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- R19042 (ND)
- Practice address
- 416 2ND Ave N
Fort Totten, ND 58335 - Phone
- (701) 766-1251
- Fax
- (701) 766-1260
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spirit Lake Tribe
Practice addresses (Care Compare)
3883 74TH Ave NE
Spirit Lake Health Center
Fort Totten, ND 58335-0309
Phone (701) 766-1600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100607000224 | TX | Practitioner - Nurse Practitioner | 3971633660 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R19042 | ND | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Lake Tribe | Current |
Accepting new patients | |
| Spirit Lake Tribe | Past | Accepting new patients |
Interoperability endpoints
- chefta@slect.opdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R19042 | ND | Yes |
Addresses
Primary practice location
416 2ND Ave N
Fort Totten, ND 58335
Mailing address
4507 Highway 20
Devils Lake, ND 58301-8518
Phone (701) 662-2414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26450 | Other | ND | BLUE CROSS/BLUE SHIELD |
Other providers in Fort Totten, ND
- Kristen Renae Gourneau
- Felicia Greywater
- Marty Greywater
- Cynthia Anne Gunderson
- Alyssa Jo Haug
- Terrence L Herman Jr.
- Kristine Hoey
- Jaclyn Ann Hunt
- Michelle Ironheart
- Karen Kay Jackson
All providers in Fort Totten, ND · Women's Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.